A comparative diagnostic assessment of anterior tooth and bone status using panoramic and periapical radiography-Reference-Cited by-同舟云学术

A comparative diagnostic assessment of anterior tooth and bone status using panoramic and periapical radiography

Published:2011-11-01 Issue:2 Volume:27 Page:162-168
ISSN:2207-7480
Container-title:Australasian Orthodontic Journal
language:en
Short-container-title:

Author:

Le Tina¹,Nassery Khash¹,Kahler Bill²,Ao Geoffrey Heithersay¹

Affiliation:

1. 1 School of Dentistry , The University of Adelaide , Adelaide Australia

2. 2 School of Dentistry , University of Queensland , Brisbane , Australia

Abstract

Abstract Aims: The aim of the present study was to compare diagnostic assessments of anterior tooth and bone status in a randomised cohort of pre-orthodontic patients using panoramic and periapical radiographs. Method: Four hundred and forty-four cases with matched periapical and panoramic radiographs were examined by three observers. Two were final-year postgraduate endodontic students and the other, a final-year Honours degree dental student. Multi-rater Kappa values were used to assess the reliability of the observers, with a value of 1 equating to complete agreement. Results: With the exception of endodontic Class 1 and 2 palatal invaginations, reliability exceeded 0.95 for all three observers. An assessment of the graduate endodontic students revealed only a marginal increase in the kappa values. Statistical analysis (p < 0.05) determined that developmental anomalies or tooth/bone pathoses were more reliably detected by observers using periapical radiographs compared with panoramic films. This finding has relevance given the likelihood of anterior dental trauma among young children. Conclusion: While there have been considerable improvements in the quality of dental panoramic radiography, the present study indicated that a reliable pre-orthodontic or post-trauma diagnostic assessment should include both panoramic and intra-oral radiographs.

Publisher

Walter de Gruyter GmbH

Subject

Orthodontics

Link

https://www.sciendo.com/pdf/10.2478/aoj-2011-0021

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